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1295707156
ELIZABETH FAGAN
SUMMIT, NJ
NPI
1295707156
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NJ MA074625)
Enumeration Date
2006-02-06
Last Update Date
2013-05-01
Business Address
-- ELIZABETH FAGAN MD
12 BANK ST STE 201
SUMMIT, NJ 07901-3661
Phone number: 908-376-6550
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Mailing Address
-- ELIZABETH FAGAN MD
12 BANK ST STE 201
SUMMIT, NJ 07901-3661
Phone number: 908-376-6550
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